Provider Demographics
NPI: | 1699210823 |
---|---|
Name: | AITCH BEE PHYSICAL THERAPY & WELLNESS, LLC |
Entity type: | Organization |
Organization Name: | AITCH BEE PHYSICAL THERAPY & WELLNESS, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PHYSICAL THERAPIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | HOWARD |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BARRETT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PT, DPT |
Authorized Official - Phone: | 214-697-9703 |
Mailing Address - Street 1: | 709 W RUSK ST |
Mailing Address - Street 2: | SUITE 810 |
Mailing Address - City: | ROCKWALL |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75087-3056 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 469-844-1995 |
Mailing Address - Fax: | 214-276-1844 |
Practice Address - Street 1: | 709 W RUSK ST |
Practice Address - Street 2: | SUITE 810 |
Practice Address - City: | ROCKWALL |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75087-3056 |
Practice Address - Country: | US |
Practice Address - Phone: | 469-844-1995 |
Practice Address - Fax: | 214-276-1844 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-12-25 |
Last Update Date: | 2016-12-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | |
No | 251E00000X | Agencies | Home Health |